If a dental claim feels off — it probably is.
You don’t have to sort it out alone. When you send us the file: a licensed dentist conducts a full peer review, including:
Review the radiographs and clinical findings
Separate injury-related care from chronic conditions
Evaluate treatment scope and proportionality
Provide clear, defensible guidance — with timelines
No guesswork.
No overreach.
Just clinical clarity.
Have a dental claim that isn’t sitting right?
Send it before treatment and exposure expand.
- Secure submission
- HIPAA compliant
- No obligation
32%
Average Clinical Savings
Nationwide
Credentialed Partners
Dentist-Led
Reviews On Every File
Same-Day
Scheduling Available
Why Dental Claims Become Problem Claims
“Dental claims require a dental process — not medical workflows.”
Have a problem file sitting on your desk? Submit it for a clinical review.
Incorrect Causation
Treating pre-existing conditions as injury-related due to lack of expertise.
Lack of Clinical Oversight
No clinical validation on expensive treatment plans before they begin.
Delayed Documentation
Weak or delayed documentation that holds up the entire claim process.
Medical Workflow Misalignment
Routing dental claims through standard medical processes that miss nuances.
Poor Communication
Adjusters left in the dark between the provider and the claimant.
Surprise Billing Exposure
Unpredicted costs that exceed initial authorizations and litigation risks.
The Workforce Service Engine
Engineered dental risk management. Every case is supported by dentist-led clinical review and nationwide provider coordination.
EVALUATION + TREATMENT
End-to-end file management. We handle the file from initial evaluation, creation of an injury-related treatment plan, and then actively manage that treatment to completion until MMI is reached.
TREATMENT MANAGEMENT
Leverage Existing Provider. When a dental provider has already been assigned, we step in to actively manage the file, ensuring all ongoing treatment remains clinically appropriate and related to the compensable injury to prevent scope creep.
DENTAL PEER REVIEW
Impartial Records Review. A fast, records-based review of causality, necessity, and appropriateness of a proposed or rendered treatment plan. No physical exam is required.
DENTAL INDEPENDENT MEDICAL EVALUATION (IME)
Physical Examination Required. A comprehensive evaluation by an expert dental consultant who physically examines the injured worker to assess diagnosis, permanent impairment, and future medical needs.
DENTAL SURGICAL CLEARANCE
Risk Reduction. Proactive evaluations to identify and manage potential oral health complications (like active infection) that could compromise a non-dental surgery.
TELE-DENTISTRY
Immediate triage, anywhere. Whether at the employer's site or the injured worker's home, our virtual platform connects claimants with a dentist instantly. This tool effectively triages dental trauma, reduces unnecessary ER visits, and provides immediate reassurance and guidance.
MOBILE DENTISTRY
Solving the "Access to Care" challenge. For catastrophic cases where transport is difficult, or for claimants located in rural "dental deserts," we bring the clinic to the patient.
COORDINATED SPECIALTY CARE
When advanced or specialty dental care is required, Workforce Dental Solutions coordinates referrals to qualified specialists, including oral & maxillofacial surgeons, prosthodontists, orthodontists, endodontists, periodontists, TMJ providers, and advanced diagnostic services.
We don’t route dental claims through medical systems.
We built a system specifically for them.
Dental Is All We Do.
While others divide their attention across multiple services, we focus exclusively on dental claims. That focus means deeper clinical insight, clearer causation analysis, and tighter scope control — from day one. When dental is your only focus, you:
Catch scope creep earlier
Keep claims predictable
Identify pre-existing disease faster
Deliver better outcomes
Prevent unnecessary treatment escalation
"Because specialization produces stronger outcomes."
Beyond Savings: Your Clinical Risk Partner
You’re not just saving money — you’re stabilizing risk.
Workforce Dental helps with..
Reducing claim friction
Preventing overtreatment
Protecting injured employees
Lowering litigation risk
Faster provider access
Faster claim closures
Adjuster Quick Guide:
Download the Adjuster Dental Claim Handling Guide
We created a practical guide to walk adjusters through:
- Optimized injury workflow steps
- 10 clinical review checkpoints
- Essential documentation standards
- Workforce Services
This guide is designed to support you whether a claim is active now or later. Used by national carriers, TPA's and public risk pools.
Dental injury management — done properly.
Keeping you in the loop during the entire process.
We bridge the communication gap between providers, adjusters, and clinical experts to ensure no claim stalls due to silence.
Immediate Access
1-877-649-1318
The Workforce Advantage
Faster scheduling
Reduced treatment delays
Clinical oversight
Defensible records
Nationwide access
Single accountability
Have a dental claim that we can help you with?
Send us your next dental claim and experience what true dental-specific oversight looks like.
